Evidence map›Paper›PMID 26231152›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016

Evaluating healthcare resource utilization and outcomes for surgical hip dislocation and hip arthroscopy for femoroacetabular impingement.

Darren de Sa, Nolan S Horner, Austin MacDonald, Nicole Simunovic, Gerard Slobogean, Marc J Philippon, Etienne L Belzile, Jon Karlsson, Olufemi R Ayeni

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. The importance of hip shape in predicting hip osteoarthritis.Current treatment options in rheumatology · 2018
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Darren de SaDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Center, McMaster University, 1200 Main Street West, Room 4E15, Hamilton, ON, L8N 3Z5, Canada.
Nolan S HornerMichael G. DeGroote School of Medicine, McMaster University, 1280 Main St W, Hamilton, ON, L8S 4K1, Canada.
Austin MacDonaldMichael G. DeGroote School of Medicine, McMaster University, 1280 Main St W, Hamilton, ON, L8S 4K1, Canada.
Nicole SimunovicDepartment of Clinical Epidemiology and Biostatistics, Centre for Evidence Based Orthopaedics, McMaster University, 293 Wellington St. N, Suite 110, Hamilton, ON, L8L 8E7, Canada.
Gerard SlobogeanDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Center, McMaster University, 1200 Main Street West, Room 4E15, Hamilton, ON, L8N 3Z5, Canada.
Marc J PhilipponThe Steadman Clinic, 181 West Meadow Drive, Suite 400, Vail, CO, 81657, USA.
Etienne L BelzileDivision of Orthopaedic Surgery, CHUQ-Hotel Dieu de Quebec, Quebec, QC, Canada.
Jon KarlssonThe department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Olufemi R AyeniDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Center, McMaster University, 1200 Main Street West, Room 4E15, Hamilton, ON, L8N 3Z5, Canada. ayenif@mcmaster.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgical hip dislocation (SHD) and hip arthroscopy are surgical methods used to correct deformity associated with femoroacetabular impingement (FAI). Though both of these approaches appear to benefit patients, no studies exist comparing healthcare resource utilization of the two surgical approaches. This systematic review examines the literature and the records of two surgeons to evaluate the resource utilization associated with treating symptomatic FAI via these two methods.

methodsEMBASE, MEDLINE and PubMed were searched for relevant articles. The articles were systematically screened, and data was abstracted in duplicate. To further supplement resource utilization data, a retrospective chart review of two surgeon's patient data (one using SHD and another using an arthroscopic approach) was completed. Experts in pharmacy, physiotherapy, radiology, anaesthesia, physiatry and the local hospital finance department were also consulted.

resultsThere were 52 studies included with a total of 460 patients (535 hips) and 3886 patients (4147 hips) who underwent SHD and arthroscopic surgery for FAI, respectively. Regardless of approach, most patients treated for symptomatic FAI improved across various outcomes measures with low complication rates. Surgical time across all approaches was similar, averaging 118 ± 2 min. On a per patient basis, hip arthroscopy ($10,976) uses approximately 41 % of the resources of SHD ($24,379).

conclusionThere were no significant differences in outcomes for FAI treated with SHD or arthroscopy. However, with regard to healthcare resource utilization based on the OHIP healthcare system, hip arthroscopy uses substantially less resources than SHD within the first post-operative year. LEVEL OF EVIDENCE: Systematic Review of Level IV Studies, Level IV.

Indexed as

ArthroscopyFemoracetabular ImpingementHealth Care CostsHealth ResourcesHip JointHumansPostoperative ComplicationsPostoperative PeriodRadiographyRetrospective StudiesSurgeonsCostFemoroacetabular impingementOutcomesQualityResource utilization

Identifiers

PMID26231152

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.